HomeMy WebLinkAbout92-2295
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BUILDING PERMIT
Permit
2290'
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CITY OF ZEPHYRHILLS
(813) 788-6611 -'
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Property Owner:
Job Address:
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NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
2-
DATE
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Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
:~;~~::,:e ~~ =
Company
Address
Telephone#
Valuation or ~ / €!i2-
Contract Price If ,/ ~ / l) OtJ.
SLB 5' -/} J(t
Tub Set .
Water
Sewer
Final
Driveway
-n ~ f5r:.1i r^-)
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
5lA,>~"'J<'f .u.e-...
S' 7-1l- tf;J
Breakers
Ducts Insl.
Compressor
Final
s: 1A11...
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REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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TART.R 'A - WORT<~HF.F.T
r:TTV nJl' '7.F.'P"VRHT'(.T.~ r:nNNRr:'T'TnN P'RF.~
ORD. ~t39S RESOLUTION 151 & 329 WATER $1. 'S/OAT.LON SEWER $G.39/oALLON
RF.~inF.NTT At. (F.a~h T.nt nr Unit.)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131..25 1.79.25
~
r:OMMF.R r:T AT. (PRR FIXT1JRR)
Sinks 87..50 319.50
Water Closet 131. 25 479.25
Urinal , 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines 350.00 1,278.00
FOOD SERVICE - .
Dishwasher . 700.00 2,556.00
Sinks . 175.00 639.00
Car Hash (Per Stall) 1,000~OO 6,390.00
.. '...
FIXTURE G.P.D. it WATER SEWER TOTAL PER FIXTURE
,6 ~-t;-~ el, I J~/lz5 t./ 79 _ 2 ~ ~/O"SO
L.av. I ,4:36,5 / 59'. 75 2-D ~ . GO
~
)1~.()O ~ 39. 00 S' It..).~
--:-" WATER METER
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GRAND TOTAL
APPLICATION FOR PEID1:tT
CITY OF ZEPIIYRHILLS
BUILDING DEPARTHENT
APPLICANT
C-~L I S /f";V1: ";CC-N,SW-,UCT/D;(.[
ADDRESS ~7 70/--, 01 AiJe-;,'~ :b~f PHONE 7~'2 -q 4l{' L
QJa E! M Ot>A ~vf-~X
JOB LOCATION S ?l 'f 7 hA--/ /
"
OWNER
LEGAL DESCRIPTION: LOT(S) Jl~.174 J g BLOCK q
PARCEL I.D.j~ J) -If;( ~'"" /J 1- OC i U--c-C;Q qcC.. CJ b [).
LOT SIZEZ5-X 1/ D AREA SQ. FT 'Gq>;2 sLJ
SUBDIVISION cf?-I'-f;l.2 - PG 119,~
WORK PROPOSED:____New Construction ~Addition ~Alteration ____Repair ____Install
_Sign/Temp. _Sign _Hove _Demolish
PROPOSED USE: ~Single Family ~M/F -j~ of Units ,._M/H
2commercial _Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE: d-8 x:!l.h. J(J$'D lI'i,f- Height
Square Feet, /0-.. .
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. ~,-I:
**COPY OF CONTRACT REQUIRED.
~ERMTTS REOUESTED
y..... BUILDING
-LELECTRICAL
'i-MECHANICAL
~PLUMBING
$
valuation of Total Construction
AMP Service'
Florida power Corp.
_H.R.E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS:
FT. EX 15 '/lIVG-
********************************~*********
Signature
CONTRACTOR SECTTO(.~ L S. . " '/c. /'''1 c~W' r"}..J,-1
. Company ~_ r ;' It:=' V l ~. C ,,-.'\ 1.. (
State Cert. or Regist. iF CB-u.J27- i ~ ~
__.----.,.. . City License Regi~tration iF --I Bl
*******************************~**********
ELECTRTCTAN ~ ':\:)..\;'C=U7Lt) Company L..-\.-\.''-'-~ E..'-.;?c-t. S~aJ
~ ~ ~ State Cert. or Regis",,, (jOC> '2.l(.,y
Signatur ~c " \:: . City License Registration i/ to
*******************************~*********
Signature
Company . clltr's 6A:1f! ~J. tl'0br'tUG
cLr.- ~;8 j1~ . State Cert, or Regis,", " -I.:: "0 oS )L?
:; . /). City License Registration iF ,("7
-. . . **.. ..... .................... **. H,'" *** * *,
. PUJMRER
MECHANICAl.
Signature ~~ Lf'-<....
/
Company ~~H~1..s /1tt>#Ar-I t.. G,-,s 1L #ft IIVC .
State Cert. or Regist. iF CAC.o~J-; ~J
City License Registration U 7~
******************************************
Signature
Company
State Cert. or Regist. 0
City License Registration 0
OTHER
******************************************
PERl-lIT OFFICER.
APPLICATION APPROVED BY
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CONDITIONS~OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
The.undersigned understands that this per.it lay be sub3ect to "deed restricti~ns' which ~ay be ~ore restr.ictive than City
regulation!>>. The undersigned nsules ftsponsibllitf;for;,colpHance Hith any appl icable deed restrictions.
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UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
B.
If the owner has hired a contractor or contractors to undertake Hork, .they lay be required to be licensed in accordance with
stlte and local regulations. If the contractor is not licensed as required by law, both the owner and contractor ftay be
cited for a lisde.eanor violation under state laH.; If the ~Hner or intended contractor are un~ertain as to Hhat licensing
requirelents lay apply f~r the intended Hork, they are advised to contact the City of Zephyrhills ~uilding Departlent, (813)
7B8-6611. . .
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the
'Contractor Sections' of this application for Hhich they Hill be responsible. If y~u, as the owner sign as the c~ntractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Hishes you to sign
as contractor that aay be an indication that he is not properly licensed and is not entitled to per~itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of 'Florida's [e,nstruction Lien LaH - HOleoHner's Protection
Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sote6ne other than the
'oHner', I certify that I have obtained a. copy of the above described document and promise in good faith to deliver it to the
'owner' prior to cOllenceDent.
: '. .: :~~" ~. I . :
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work Hill be done in coapliance Hith all
applicable laHs regulating construction, 1onirig, and land developaent.
. .
Application is hereby Dade to obtain a perlit to'do work and install~tion as indicated. 1 certify that no Hork or
installation has cOllenced prior to issuance of a per.it and that all work Hill be performed to ~eet standards of all laws
regulating construction, City codes, 10ning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended Hork, and that it is
.y responsibility tCI identify Hhat actions I must take to be in cOlllpliance. Such agencies include bill "1 e Jie,t liaited to:
#'
I Departle~t of Envir~nmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi tiv~ lands,
Water/Wastewater Treatment
I Southwest Florida Water' ManaQelent District - Wells; Cypress Bayheads, Wetland ~reas, Altering Hatercourses
I Ar,y Corps ~f EnQineers - SeaHalls, Docks, Navigable Waterways
I Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - Uells, Hastewater Treat~en~. Septic Tanks
I US Environaental Protection AQency - Asbestos abatement
I alsD certify that, if fill laterial is tD be used in Flc.od Zone "A" or "~,etc.', it is understoe,d tll,,! a drainage plan
addressing a 'colPensating vDlule' Hill be sub.itted Hhich is prepared by a professie,nal engineer reoist~ied in the State Df
Florida prior tD perlit issuance.
A perlit issued shall be cDnstrued to be a license to proceed with the work and not as authority to violjte, cancel alter, or
set aside any provisions Df the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
requiring a ((Irredion clf errors in plans; constructic,n, c.r violations of any code. Every perillit issued "hall beee'le invalid
unless the wor\: authc,rized by such permit is c[."Denced within six months of issuance, Cor if lie'lk allthe" I<ed by the perlit is
suspended Dr abandoned f~r a period of six .onths after the t~Je the work is cOlmenced. One 90 day e~IE~5iDII of tiae, lay be
allowed for the per~it Hith fee charge of $15.00. The extensi~n shall be requested in writing to the Building Official. An
approved inspectitln oust be }c,gged during each six lonth period, c,r the prtoject Iii 1 I be c(,nsider"d ilbolldtliled.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED~O RECORD AN POST A "NOTICE OF COMMENCEMENT".
SIGNATU~E_ / . _~___ '~___ !E:~:~:~~-- -- ~---
OWNER OR AGENT The above was aeRN ed~~ before me this
, 'd' ):J' 17th day of April, 1992 by Gary L. Steve
::::~~-~~-~:=L~-9-:~;A:;j~~)--ll:--- ::::~~~~~fi;ODa~lY_tor-BDd~id
OWNER OR AGENTI ~~_L:l~__~~ CONTRACTOR_~~~~!.r~
, ';':". . . .. Dawn E. Woodw~rrl
MY COMMISSION XPIRE. o.f~" _Richerd A ~~W~~J\ MY COMMISSION EXPIRES__________________
~ 'STAiroF' fLORDA NOTARY PUBLIC, STATE OF FLORIDA.
. u~hc My Cco'm Exp 6/2195 ~y COMMISSION EXPIRES: Jan. 25,1995.
'. ..~i: .... .' BONOt:D ,.~""" NDKD THll.U NOTARY PUBLIC UNDERWRITERs.
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A : S UR VEY OF: Lots Q~4:@ ] 6, '17, ~ nd 18,. Block 9.'. Y-::;:;:. ~.'; "~:'>~':',:'::~'
CITY OF ZEPHYRHILLS~ recorc1E'cl in rlat Book 1,.'page..':,54,',....~:...I;":.>l~~~.;;-::.:. '0'
P.ubl ic records of Pasco Coun r.y. FI nr ida. -" ','. .-.:',~'." ,.:;:.:.. ':,"~_~( :" :
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FOR: Walter N. Rowlcll.dJr.'
DAT~: February 10, 1977
ORDEH: 2] 28
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C. c.rJ]~d q)euJ. and 04ssdc;q'ft.:J,In
SI. Polorsbur; -.,Z.ep!,y~hilI5
Cor~if~'f!d 0' to 'Surv.ey.':.' .
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Florido Sufytiyor, R8il n. NE 9/ C
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ZEPHYRHILLS FIRE DEPARTMENT
Zephyrhills, Florida 33540
38410 6th A venue
(813) 782-8184
FI:\AL BUILDING INSPECTION
Fire Chief
Villiam T, Fenton
Assistant Chief
Robert Hartwig
OCCUP,",-0iCY: ."'7 L- t;~(,; ,.;/ L<...A~.
DA TE: ~'/j.t/c:;;2-
ADDRESS: -..2.:C. If- 7 C-:.~ // if //_,;;
BUSINESS PHONE: 7 PC' .. t: 4:LL
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~E. RJMANAGE~; ,je r'
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This huilding has lwen inspected by the Zephyrhills
Fire Department under the codes and regulations of the
NFPA ~1inimum Standards and other local fire safety codes.
---t- APPROVED
:'>JOT APPROVED
CO~1\1E;\iTS: (J,j /, jf" i-t'/n~,y,J .b./
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INSPECTOR: !'/ /; /' 6~ /'-!k?<-
DATE: .-/tdC(~
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TIME: /(1; V(?
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SIG:'<lE~, ~ / ~ -' . ^ lP';
TITLE; U-?t...--r'Jt!--, / .
06/17/86 als